Individual ProviderStephanie ReisdorfSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1515 E Tropicana Ave Ste 580, Las Vegas, NV 89119-6517(702) 898-5311(702) 289-8435PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Reisdorf is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1831526888Provider TypeIndividualFull NameReisdorf, StephanieGenderFemaleSole ProprietorYesEnumeration Date10/6/2013Last Updated7/21/2020Contact InformationPractice LocationPractice Address1515 E Tropicana Ave Ste 580, Las Vegas, NV 89119-6517Phone(702) 898-5311FaxUnlisted FaxMailing LocationMailing Address5556 Sharpsburg Ave, Las Vegas, NV 89141-8687Phone(702) 289-8435FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8119-SNevada